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1 Page 1 Supreme Court of the United States MAYO COLLABORATIVE SERVICES, dba Mayo Medical Laboratories, et al., Petitioners v. PROMETHEUS LABORATORIES, INC. No Argued Dec. 7, Decided March 20, Background: Licensee of patents claiming methods for calibrating proper dosage of thiopurine drugs to treat autoimmune diseases filed infringement suit. The United States District Court for the Southern District of California, John A. Houston, J., 2008 WL , granted summary judgment of invalidity of patents. Licensee appealed. The United States Court of Appeals for the Federal Circuit, 581 F.3d 1336, reversed. The Supreme Court granted certiorari, vacated the Court of Appeals decision, and remanded for reconsideration. On remand, the Court of Appeals, Lourie, Circuit Judge, 628 F.3d 1347, again reversed. Certiorari was granted. Holding: The Supreme Court, Justice Breyer, held that patents effectively claimed the underlying laws of nature themselves, and thus were invalid. Reversed. [1] Patents West Headnotes 291I Subjects of Patents 291k4 Arts 291k6 k. Principles or laws of nature. Most Cited Cases Patents II Patentability 291II(A) Invention; Obviousness 291k16.2 k. Ideas and abstract principles. Most Cited Cases Patents II Patentability 291II(A) Invention; Obviousness 291k16.3 k. Natural or scientific phenomena or principles. Most Cited Cases Laws of nature, natural phenomena, and abstract ideas are not patentable. 35 U.S.C.A [2] Patents I Subjects of Patents 291k4 Arts 291k6 k. Principles or laws of nature. Most Cited Cases Patents II Patentability 291II(A) Invention; Obviousness 291k16.2 k. Ideas and abstract principles. Most Cited Cases Patents II Patentability 291II(A) Invention; Obviousness 291k16.3 k. Natural or scientific phenomena or principles. Most Cited Cases Phenomena of nature, though just discovered, mental processes, and abstract intellectual concepts are not patentable, as they are the basic tools of scientific and technological work. 35 U.S.C.A [3] Patents I Subjects of Patents 291k4 Arts 291k7.12 k. Law of nature. Most Cited Cases

2 To transform unpatentable law of nature into patent-eligible application of such law, one must do more than simply state the law of nature while adding the words apply it. 35 U.S.C.A [4] Patents I Subjects of Patents 291k4 Arts 291k7.12 k. Law of nature. Most Cited Cases Patented process that focuses upon use of natural law must also contain other elements or combination of elements, sometimes referred to as inventive concept, sufficient to ensure that the patent in practice amounts to significantly more than a patent upon the natural law itself. 35 U.S.C.A [5] Patents I Subjects of Patents 291k4 Arts 291k7.14 k. Particular processes or methods as constituting invention. Most Cited Cases Page 2 Prohibition against patenting abstract ideas cannot be circumvented by attempting to limit use of the formula to a particular technological environment. 35 U.S.C.A [7] Patents I Subjects of Patents 291k4 Arts 291k6 k. Principles or laws of nature. Most Cited Cases Purely conventional or obvious pre-solution activity is normally not sufficient to transform unpatentable law of nature into patent-eligible application of such a law. 35 U.S.C.A Patents (2) 291XIII Decisions on the Validity, Construction, and Infringement of Particular Patents 291k328 Patents Enumerated 291k328(2) k. Original utility. Most Cited Cases Patent claims covering processes that helped doctors who used thiopurine drugs to treat patients with autoimmune diseases determine whether given dosage level was too low or too high, and purporting to apply natural laws describing relationships between concentration in the blood of certain thiopurine metabolites and likelihood that drug dosage would be ineffective or induce harmful side-effects, did not transform unpatentable natural laws into patenteligible applications of those laws; steps in claimed processes, apart from natural laws themselves, involved well-understood, routine, conventional activity previously engaged in by researchers in the field. 35 U.S.C.A [6] Patents I Subjects of Patents 291k4 Arts 291k6 k. Principles or laws of nature. Most Cited Cases 6,355,623, 6,680,302. Invalid. *1290 Syllabus FN* FN* The syllabus constitutes no part of the opinion of the Court but has been prepared by the Reporter of Decisions for the convenience of the reader. See United States v. Detroit Timber & Lumber Co., 200 U.S. 321, 337, 26 S.Ct. 282, 50 L.Ed Although laws of nature, natural phenomena, and abstract ideas are not patentable subject matter under 101 of the Patent Act, Diamond v. Diehr, 450 U.S. 175, 185, 101 S.Ct. 1048, 67 L.Ed.2d 155, an application of a law of nature... to a known structure or process may [deserve] patent protection, id., at 187, 101 S.Ct But to transform an unpatentable law of nature into a patent-eligible application of such a law, a patent must do more than simply state the law of nature while adding the words apply it. See, e.g., Gottschalk v. Benson, 409 U.S. 63, 71

3 72, 93 S.Ct. 253, 34 L.Ed.2d 273. It must limit its reach to a particular, inventive application of the law. Respondent, Prometheus Laboratories, Inc. (Prometheus), is the sole and exclusive licensee of the two patents at issue, which concern the use of thiopurine drugs to treat autoimmune diseases. When ingested, the body metabolizes the drugs, producing metabolites in the bloodstream. Because patients metabolize these drugs differently, doctors have found it difficult to determine whether a particular patient's dose is too high, risking harmful side effects, or too low, and so likely ineffective. The patent claims here set forth processes embodying researchers' findings that identify correlations between metabolite levels and likely harm or ineffectiveness with precision. Each claim recites (1) an administering step instructing a doctor to administer the drug to his patient (2) a determining step telling the doctor to measure the resulting metabolite levels in the patient's blood and (3) a wherein step describing the metabolite*1291 concentrations above which there is a likelihood of harmful side-effects and below which it is likely that the drug dosage is ineffective, and informing the doctor that metabolite concentrations above or below these thresholds indicate a need to decrease or increase (respectively) the drug dosage. Petitioners Mayo Collaborative Services and Mayo Clinic Rochester (Mayo) bought and used diagnostic tests based on Prometheus' patents. But in 2004 Mayo announced that it intended to sell and market its own, somewhat different, diagnostic test. Prometheus sued Mayo contending that Mayo's test infringed its patents. The District Court found that the test infringed the patents but granted summary judgment to Mayo, reasoning that the processes claimed by the patents effectively claim natural laws or natural phenomena namely, the correlations between thiopurine metabolite levels and the toxicity and efficacy of thiopurine drugs and therefore are not patentable. The Federal Circuit reversed, finding the processes to be patent eligible under the Circuit's machine or transformation test. On remand from this Court for reconsideration in light of Bilski v. Kappos, 561 U.S., 130 S.Ct. 3218, 177 L.Ed.2d 792, which clarified that the machine or transformation test is not a definitive test of patent eligibility, id., at, the Federal Circuit reaffirmed its earlier conclusion. Page 3 Held: Prometheus' process is not patent eligible. Pp (a) Because the laws of nature recited by Prometheus' patent claims the relationships between concentrations of certain metabolites in the blood and the likelihood that a thiopurine drug dosage will prove ineffective or cause harm are not themselves patentable, the claimed processes are not patentable unless they have additional features that provide practical assurance that the processes are genuine applications of those laws rather than drafting efforts designed to monopolize the correlations. The three additional steps in the claimed processes here are not themselves natural laws but neither are they sufficient to transform the nature of the claims. The administering step simply identifies a group of people who will be interested in the correlations, namely, doctors who used thiopurine drugs to treat patients suffering from autoimmune disorders. Doctors had been using these drugs for this purpose long before these patents existed. And a prohibition against patenting abstract ideas cannot be circumvented by attempting to limit the use of the formula to a particular technological environment. Bilski, supra, at, 130 S.Ct., at The wherein clauses simply tell a doctor about the relevant natural laws, adding, at most, a suggestion that they should consider the test results when making their treatment decisions. The determining step tells a doctor to measure patients' metabolite levels, through whatever process the doctor wishes to use. Because methods for making such determinations were well known in the art, this step simply tells doctors to engage in well-understood, routine, conventional activity previously engaged in by scientists in the field. Such activity is normally not sufficient to transform an unpatentable law of nature into a patent-eligible application of such a law. Parker v. Flook, 437 U.S. 584, 590, 98 S.Ct. 2522, 57 L.Ed.2d 451. Finally, considering the three steps as an ordered combination adds nothing to the laws of nature that is not already present when the steps are considered separately. Pp (b) A more detailed consideration of the controlling precedents reinforces this conclusion. Pp *1292 (1) Diehr and Flook, the cases most directly on point, both addressed processes using

4 mathematical formulas that, like laws of nature, are not themselves patentable. In Diehr, the overall process was patent eligible because of the way the additional steps of the process integrated the equation into the process as a whole. 450 U.S., at 187, 101 S.Ct These additional steps transformed the process into an inventive application of the formula. But in Flook, the additional steps of the process did not limit the claim to a particular application, and the particular chemical processes at issue were all well known, to the point where, putting the formula to the side, there was no inventive concept in the claimed application of the formula. 437 U.S., at 594, 98 S.Ct Here, the claim presents a case for patentability that is weaker than Diehr 's patenteligible claim and no stronger than Flook 's unpatentable one. The three steps add nothing specific to the laws of nature other than what is well-understood, routine, conventional activity, previously engaged in by those in the field. Pp Page 4 the correlations. And they threaten to inhibit the development of more refined treatment recommendations that combine Prometheus' correlations with later discoveries. This reinforces the conclusion that the processes at issue are not patent eligible, while eliminating any temptation to depart from case law precedent. Pp (c) Additional arguments supporting Prometheus' position that the process is patent eligible because it passes the machine or transformation test ; that, because the particular laws of nature that the claims embody are narrow and specific, the patents should be upheld; that the Court should not invalidate these patents under 101 because the Patent Act's other validity requirements will screen out overly broad patents; and that a principle of law denying patent coverage here will discourage investment in discoveries of new diagnostic laws of nature do not lead to a different conclusion. Pp (2) Further support for the view that simply appending conventional steps, specified at a high level of generality, to laws of nature, natural phenomena, and abstract ideas cannot make those laws, phenomena, and ideas patentable is provided in O'Reilly v. Morse, 15 How. 62, , 14 L.Ed. 601; Neilson v. Harford, Webster's Patent Cases 295, 371; Bilski, supra, at ; and Benson, supra, at 64, 65, 67, 93 S.Ct Pp (3) This Court has repeatedly emphasized a concern that patent law not inhibit future discovery by improperly tying up the use of laws of nature and the like. See, e.g., Benson, 409 U.S., at 67, 68, 93 S.Ct Rewarding with patents those who discover laws of nature might encourage their discovery. But because those laws and principles are the basic tools of scientific and technological work, id., at 67, 93 S.Ct. 253, there is a danger that granting patents that tie up their use will inhibit future innovation, a danger that becomes acute when a patented process is no more than a general instruction to apply the natural law, or otherwise forecloses more future invention than the underlying discovery could reasonably justify. The patent claims at issue implicate this concern. In telling a doctor to measure metabolite levels and to consider the resulting measurements in light of the correlations they describe, they tie up his subsequent treatment decision regardless of whether he changes his dosage in the light of the inference he draws using 628 F.3d 1347, reversed. BREYER, J., delivered the opinion for a unanimous Court. *1293 Stephen M. Shapiro, Los Angeles, CA, for Petitioners. Donald B. Verrilli, Jr., Solicitor General, for the United States, as amicus curiae, by special leave of the Court. Richard P. Bress for Respondent. Jonathan Singer, John Dragseth, Deanna Reichel, Fish & Richardson P.C., Minneapolis, MN, Stephen M. Shapiro, Counsel of Record, Timothy S. Bishop, Jeffrey W. Sarles, Mayer Brown LLP, Chicago, IL, Eugene Volokh, Los Angeles, CA, Joseph M. Colaiano, James A. Rogers, III, Mayo Clinic, Rochester, MN, Charles Rothfeld, Mayer Brown LLP, Washington, D.C., for Petitioners. Richard P. Bress, Counsel of Record, J. Scott Ballenger, Maximilian A. Grant, Matthew J. Moore, Gabriel K. Bell, Latham & Watkins LLP, Washington, DC, for Respondent. For U.S. Supreme Court briefs, See:2011 WL (Resp.Brief)2011 WL (Re-

5 ply.brief) Justice BREYER delivered the opinion of the Court. [1] Section 101 of the Patent Act defines patentable subject matter. It says: Whoever invents or discovers any new and useful process, machine, manufacture, or composition of matter, or any new and useful improvement thereof, may obtain a patent therefor, subject to the conditions and requirements of this title. 35 U.S.C The Court has long held that this provision contains an important implicit exception. [L]aws of nature, natural phenomena, and abstract ideas are not patentable. Diamond v. Diehr, 450 U.S. 175, 185, 101 S.Ct. 1048, 67 L.Ed.2d 155 (1981); see also Bilski v. Kappos, 561 U.S.,, 130 S.Ct. 3218, , 177 L.Ed.2d 792 (2010); Diamond v. Chakrabarty, 447 U.S. 303, 309, 100 S.Ct. 2204, 65 L.Ed.2d 144 (1980); Le Roy v. Tatham, 14 How. 156, 175, 14 L.Ed. 367 (1853); O'Reilly v. Morse, 15 How. 62, , 14 L.Ed. 601 (1854); cf. Neilson v. Harford, Webster's Patent Cases 295, 371 (1841) (English case discussing same). Thus, the Court has written that a new mineral discovered in the earth or a new plant found in the wild is not patentable subject matter. Likewise, Einstein could not patent his celebrated law that E=mc 2 ; nor could Newton have patented the law of gravity. Such discoveries are manifestations of... nature, free to all men and reserved exclusively to none. Chakrabarty, supra, at 309, 100 S.Ct (quoting Funk Brothers Seed Co. v. Kalo Inoculant Co., 333 U.S. 127, 130, 68 S.Ct. 440, 92 L.Ed. 588 (1948)). [2] Phenomena of nature, though just discovered, mental processes, and abstract intellectual concepts are not patentable, as they are the basic tools of scientific and technological work. Gottschalk v. Benson, 409 U.S. 63, 67, 93 S.Ct. 253, 34 L.Ed.2d 273 (1972). And monopolization of those tools through the grant of a patent might tend to impede innovation more than it would tend to promote it. The Court has recognized, however, that too broad an interpretation of this exclusionary principle could eviscerate patent law. For all inventions at some level embody, use, reflect, rest upon, or apply laws of nature, natural phenomena, or abstract ideas. Page 5 Thus, in Diehr the Court pointed out that a process is not unpatentable simply because it contains a law of nature or a mathematical algorithm. 450 U.S., at 187, 101 S.Ct (quoting Parker v. Flook, 437 U.S. 584, 590, 98 S.Ct. 2522, 57 L.Ed.2d 451 (1978)). It added that an application of a law of nature or mathematical*1294 formula to a known structure or process may well be deserving of patent protection. Diehr, supra, at 187, 101 S.Ct And it emphasized Justice Stone's similar observation in Mackay Radio & Telegraph Co. v. Radio Corp. of America, 306 U.S. 86, 59 S.Ct. 427, 83 L.Ed. 506 (1939): While a scientific truth, or the mathematical expression of it, is not a patentable invention, a novel and useful structure created with the aid of knowledge of scientific truth may be. 450 U.S., at 188, 101 S.Ct (quoting Mackay Radio, supra, at 94, 59 S.Ct. 427). See also Funk Brothers, supra, at 130, 68 S.Ct. 440 ( If there is to be invention from [a discovery of a law of nature], it must come from the application of the law of nature to a new and useful end ). [3] Still, as the Court has also made clear, to transform an unpatentable law of nature into a patenteligible application of such a law, one must do more than simply state the law of nature while adding the words apply it. See, e.g., Benson, supra, at 71 72, 93 S.Ct The case before us lies at the intersection of these basic principles. It concerns patent claims covering processes that help doctors who use thiopurine drugs to treat patients with autoimmune diseases determine whether a given dosage level is too low or too high. The claims purport to apply natural laws describing the relationships between the concentration in the blood of certain thiopurine metabolites and the likelihood that the drug dosage will be ineffective or induce harmful side-effects. We must determine whether the claimed processes have transformed these unpatentable natural laws into patent-eligible applications of those laws. We conclude that they have not done so and that therefore the processes are not patentable. [4] Our conclusion rests upon an examination of the particular claims before us in light of the Court's

6 precedents. Those cases warn us against interpreting patent statutes in ways that make patent eligibility depend simply on the draftsman's art without reference to the principles underlying the prohibition against patents for [natural laws]. Flook, supra, at 593, 98 S.Ct They warn us against upholding patents that claim processes that too broadly preempt the use of a natural law. Morse, supra, at ; Benson, supra, at 71 72, 93 S.Ct And they insist that a process that focuses upon the use of a natural law also contain other elements or a combination of elements, sometimes referred to as an inventive concept, sufficient to ensure that the patent in practice amounts to significantly more than a patent upon the natural law itself. Flook, supra, at 594, 98 S.Ct. 2522; see also Bilski, supra, at 3218, 130 S.Ct. at 3230 ( [T]he prohibition against patenting abstract ideas cannot be circumvented by attempting to limit the use of the formula to a particular technological environment or adding insignificant postsolution activity (quoting Diehr, supra, at , 101 S.Ct. 1048)). We find that the process claims at issue here do not satisfy these conditions. In particular, the steps in the claimed processes (apart from the natural laws themselves) involve well-understood, routine, conventional activity previously engaged in by researchers in the field. At the same time, upholding the patents would risk disproportionately tying up the use of the underlying natural laws, inhibiting their use in the making of further discoveries. I A The patents before us concern the use of thiopurine drugs in the treatment of *1295autoimmune diseases, such as Crohn's disease and ulcerative colitis. When a patient ingests a thiopurine compound, his body metabolizes the drug, causing metabolites to form in his bloodstream. Because the way in which people metabolize thiopurine compounds varies, the same dose of a thiopurine drug affects different people differently, and it has been difficult for doctors to determine whether for a particular patient a given dose is too high, risking harmful side effects, or too low, and so likely ineffective. Page 6 At the time the discoveries embodied in the patents were made, scientists already understood that the levels in a patient's blood of certain metabolites, including, in particular, 6 thioguanine and its nucleotides (6 TG) and 6 methyl mercaptopurine (6 MMP), were correlated with the likelihood that a particular dosage of a thiopurine drug could cause harm or prove ineffective. See U.S. Patent No. 6,355,623, col.8, ll.37 40, 2 App. 10. ( Previous studies suggested that measurement of 6 MP metabolite levels can be used to predict clinical efficacy and tolerance to azathioprine or 6 MP (citing Cuffari, Théorêt, Latour, & Seidman, 6 Mercaptopurine Metabolism in Crohn's Disease: Correlation with Efficacy and Toxicity, 39 Gut 401 (1996))). But those in the field did not know the precise correlations between metabolite levels and likely harm or ineffectiveness. The patent claims at issue here set forth processes embodying researchers' findings that identified these correlations with some precision. More specifically, the patents U.S. Patent No. 6,355,623 ('623 patent) and U.S. Patent No. 6,680,302 ('302 patent) embody findings that concentrations in a patient's blood of 6 TG or of 6 MMP metabolite beyond a certain level (400 and 7000 picomoles per 8x10 8 red blood cells, respectively) indicate that the dosage is likely too high for the patient, while concentrations in the blood of 6 TG metabolite lower than a certain level (about 230 picomoles per 8x10 8 red blood cells) indicate that the dosage is likely too low to be effective. The patent claims seek to embody this research in a set of processes. Like the Federal Circuit we take as typical claim 1 of the '623 Patent, which describes one of the claimed processes as follows: A method of optimizing therapeutic efficacy for treatment of an immune-mediated gastrointestinal disorder, comprising: (a) administering a drug providing 6 thioguanine to a subject having said immune-mediated gastrointestinal disorder; and (b) determining the level of 6 thioguanine in said subject having said immune-mediated gastrointestinal disorder, wherein the level of 6 thioguanine less than about 230 pmol per 8x10 8 red blood cells indicates a need to increase the amount of said drug subsequently administered to said subject and

7 wherein the level of 6 thioguanine greater than about 400 pmol per 8x10 8 red blood cells indicates a need to decrease the amount of said drug subsequently administered to said subject. '623 patent, col.20, ll.10 20, 2 App. 16. Page 7 summary judgment in Mayo's favor. The court reasoned that the patents effectively claim natural laws or natural phenomena namely the correlations between thiopurine metabolite levels and the toxicity and efficacy of thiopurine drug dosages and so are not patentable. App. to Pet. for Cert. 50a 83a. For present purposes we may assume that the other claims in the patents do not differ significantly from claim 1. B Respondent, Prometheus Laboratories, Inc. (Prometheus), is the sole and exclusive licensee of the '623 and '302 patents. It sells diagnostic tests that embody the processes the patents describe. For some time petitioners, Mayo Clinic Rochester and Mayo Collaborative Services (collectively Mayo), bought and used those tests. *1296 But in 2004 Mayo announced that it intended to begin using and selling its own test a test using somewhat higher metabolite levels to determine toxicity (450 pmol per 8x10 8 for 6 TG and 5700 pmol per 8x10 8 for 6 MMP). Prometheus then brought this action claiming patent infringement. The District Court found that Mayo's test infringed claim 7 of the '623 patent. App. to Pet. for Cert. 110a 115a. In interpreting the claim, the court accepted Prometheus' view that the toxicity-risk level numbers in Mayo's test and the claim were too similar to render the tests significantly different. The number Mayo used (450) was too close to the number the claim used (400) to matter given appropriate margins of error. Id., at 98a 107a. The District Court also accepted Prometheus' view that a doctor using Mayo's test could violate the patent even if he did not actually alter his treatment decision in the light of the test. In doing so, the court construed the claim's language, indicates a need to decrease (or to increase ), as not limited to instances in which the doctor actually decreases (or increases) the dosage level where the test results suggest that such an adjustment is advisable. Id., at 107a 109a; see also Brief for Respondent i (describing claimed processes as methods for improving... treatment... by using individualized metabolite measurements to inform the calibration of... dosages of... thiopurines (emphasis added)). Nonetheless the District Court ultimately granted On appeal, the Federal Circuit reversed. It pointed out that in addition to these natural correlations, the claimed processes specify the steps of (1) administering a [thiopurine] drug to a patient and (2) determining the [resulting metabolite] level. These steps, it explained, involve the transformation of the human body or of blood taken from the body. Thus, the patents satisfied the Circuit's machine or transformation test, which the court thought sufficient to confine the patent monopoly within rather definite bounds, thereby bringing the claims into compliance with F.3d 1336, 1345, (2009) (internal quotation marks omitted). Mayo filed a petition for certiorari. We granted the petition, vacated the judgment, and remanded the case for reconsideration in light of Bilski, 561 U.S., 130 S.Ct. 3218, 177 L.Ed.2d 792, which clarified that the machine or transformation test is not a definitive test of patent eligibility, but only an important and useful clue. Id., at, 130 S.Ct., at On remand the Federal Circuit reaffirmed its earlier conclusion. It thought that the machine-or-transformation test, understood merely as an important and useful clue, nonetheless led to the clear and compelling conclusion... that the... claims... do not encompass laws of nature or preempt natural correlations. 628 F.3d 1347, 1355 (2010). Mayo again filed a petition for certiorari, which we granted. II [5] Prometheus' patents set forth laws of nature namely, relationships between concentrations of certain metabolites in the blood and the likelihood that a dosage of a thiopurine drug will prove ineffective or cause harm. Claim 1, for example, states that if the levels of 6 TG in the blood (of a *1297 patient who has taken a dose of a thiopurine drug) exceed about 400 pmol per 8x10 8 red blood cells, then the administered dose is likely to produce toxic side effects. While it takes a human action (the administration of a thiopurine drug) to trigger a manifestation of this relation in a particular person, the relation itself exists in principle apart from any human action. The

8 relation is a consequence of the ways in which thiopurine compounds are metabolized by the body entirely natural processes. And so a patent that simply describes that relation sets forth a natural law. The question before us is whether the claims do significantly more than simply describe these natural relations. To put the matter more precisely, do the patent claims add enough to their statements of the correlations to allow the processes they describe to qualify as patent-eligible processes that apply natural laws? We believe that the answer to this question is no. Page 8, 130 S.Ct., at 3230 (quoting Diehr, 450 U.S., at , 101 S.Ct. 1048). Second, the wherein clauses simply tell a doctor about the relevant natural laws, at most adding a suggestion that he should take those laws into account when treating his patient. That is to say, these clauses tell the relevant audience about the laws while trusting them to use those laws appropriately where they are relevant to their decisionmaking (rather like Einstein telling linear accelerator operators about his basic law and then trusting them to use it where relevant). A If a law of nature is not patentable, then neither is a process reciting a law of nature, unless that process has additional features that provide practical assurance that the process is more than a drafting effort designed to monopolize the law of nature itself. A patent, for example, could not simply recite a law of nature and then add the instruction apply the law. Einstein, we assume, could not have patented his famous law by claiming a process consisting of simply telling linear accelerator operators to refer to the law to determine how much energy an amount of mass has produced (or vice versa). Nor could Archimedes have secured a patent for his famous principle of flotation by claiming a process consisting of simply telling boat builders to refer to that principle in order to determine whether an object will float. What else is there in the claims before us? The process that each claim recites tells doctors interested in the subject about the correlations that the researchers discovered. In doing so, it recites an administering step, a determining step, and a wherein step. These additional steps are not themselves natural laws but neither are they sufficient to transform the nature of the claim. [6] First, the administering step simply refers to the relevant audience, namely doctors who treat patients with certain diseases with thiopurine drugs. That audience is a pre-existing audience; doctors used thiopurine drugs to treat patients suffering from autoimmune disorders long before anyone asserted these claims. In any event, the prohibition against patenting abstract ideas cannot be circumvented by attempting to limit the use of the formula to a particular technological environment. Bilski, supra, at [7] Third, the determining step tells the doctor to determine the level of the relevant metabolites in the blood, through whatever process the doctor or the laboratory wishes to use. As the patents state, methods for determining metabolite levels *1298 were well known in the art. '623 patent, col.9, ll.12 65, 2 App. 11. Indeed, scientists routinely measured metabolites as part of their investigations into the relationships between metabolite levels and efficacy and toxicity of thiopurine compounds. '623 patent, col.8, ll.37 40, id., at 10. Thus, this step tells doctors to engage in well-understood, routine, conventional activity previously engaged in by scientists who work in the field. Purely conventional or obvious [pre]- solution activity is normally not sufficient to transform an unpatentable law of nature into a patenteligible application of such a law. Flook, 437 U.S., at 590, 98 S.Ct. 2522; see also Bilski, 561 U.S., at, 130 S.Ct., at 3230 ( [T]he prohibition against patenting abstract ideas cannot be circumvented by... adding insignificant post-solution activity (quoting Diehr, supra, at , 101 S.Ct. 1048)). Fourth, to consider the three steps as an ordered combination adds nothing to the laws of nature that is not already present when the steps are considered separately. See Diehr, supra, at 188, 101 S.Ct ( [A] new combination of steps in a process may be patentable even though all the constituents of the combination were well known and in common use before the combination was made ). Anyone who wants to make use of these laws must first administer a thiopurine drug and measure the resulting metabolite concentrations, and so the combination amounts to nothing significantly more than an instruction to doctors to apply the applicable laws when treating their patients.

9 The upshot is that the three steps simply tell doctors to gather data from which they may draw an inference in light of the correlations. To put the matter more succinctly, the claims inform a relevant audience about certain laws of nature; any additional steps consist of well-understood, routine, conventional activity already engaged in by the scientific community; and those steps, when viewed as a whole, add nothing significant beyond the sum of their parts taken separately. For these reasons we believe that the steps are not sufficient to transform unpatentable natural correlations into patentable applications of those regularities. B 1 A more detailed consideration of the controlling precedents reinforces our conclusion. The cases most directly on point are Diehr and Flook, two cases in which the Court reached opposite conclusions about the patent eligibility of processes that embodied the equivalent of natural laws. The Diehr process (held patent eligible) set forth a method for molding raw, uncured rubber into various cured, molded products. The process used a known mathematical equation, the Arrhenius equation, to determine when (depending upon the temperature inside the mold, the time the rubber had been in the mold, and the thickness of the rubber) to open the press. It consisted in effect of the steps of: (1) continuously monitoring the temperature on the inside of the mold, (2) feeding the resulting numbers into a computer, which would use the Arrhenius equation to continuously recalculate the mold-opening time, and (3) configuring the computer so that at the appropriate moment it would signal a device to open the press. Diehr, 450 U.S., at , 101 S.Ct The Court pointed out that the basic mathematical equation, like a law of nature, was not patentable. But it found the overall process patent eligible because of the way the additional steps of the process integrated the equation into the process as a whole. Those steps included installing rubber in a press, closing the mold, constantly*1299 determining the temperature of the mold, constantly recalculating the appropriate cure time through the use of the formula and a digital computer, and automatically opening the press at the proper time. Id., at 187, 101 S.Ct It nowhere suggested that all these steps, or at least Page 9 the combination of those steps, were in context obvious, already in use, or purely conventional. And so the patentees did not seek to pre-empt the use of [the] equation, but sought only to foreclose from others the use of that equation in conjunction with all of the other steps in their claimed process. Ibid. These other steps apparently added to the formula something that in terms of patent law's objectives had significance they transformed the process into an inventive application of the formula. The process in Flook (held not patentable) provided a method for adjusting alarm limits in the catalytic conversion of hydrocarbons. Certain operating conditions (such as temperature, pressure, and flow rates), which are continuously monitored during the conversion process, signal inefficiency or danger when they exceed certain alarm limits. The claimed process amounted to an improved system for updating those alarm limits through the steps of: (1) measuring the current level of the variable, e.g., the temperature; (2) using an apparently novel mathematical algorithm to calculate the current alarm limits; and (3) adjusting the system to reflect the new alarm-limit values. 437 U.S., at , 98 S.Ct The Court, as in Diehr, pointed out that the basic mathematical equation, like a law of nature, was not patentable. But it characterized the claimed process as doing nothing other than provid[ing] a[n unpatentable] formula for computing an updated alarm limit. Flook, supra, at 586, 98 S.Ct Unlike the process in Diehr, it did not explain how the variables used in the formula were to be selected, nor did the [claim] contain any disclosure relating to chemical processes at work or the means of setting off an alarm or adjusting the alarm limit. Diehr, supra, at 192, n. 14, 101 S.Ct. 1048; see also Flook, 437 U.S., at 586, 98 S.Ct And so the other steps in the process did not limit the claim to a particular application. Moreover, [t]he chemical processes involved in catalytic conversion of hydrocarbons[,]... the practice of monitoring the chemical process variables, the use of alarm limits to trigger alarms, the notion that alarm limit values must be recomputed and readjusted, and the use of computers for automatic monitoring-alarming were all well known, to the point where, putting the formula to the side, there was no inventive concept in the claimed application of the formula. Id., at 594, 98 S.Ct [P]ost-solution activity that is purely conventional

10 or obvious, the Court wrote, can[not] transform an unpatentable principle into a patentable process. Id., at 589, 590, 98 S.Ct The claim before us presents a case for patentability that is weaker than the (patent-eligible) claim in Diehr and no stronger than the (unpatentable) claim in Flook. Beyond picking out the relevant audience, namely those who administer doses of thiopurine drugs, the claim simply tells doctors to: (1) measure (somehow) the current level of the relevant metabolite, (2) use particular (unpatentable) laws of nature (which the claim sets forth) to calculate the current toxicity/inefficacy limits, and (3) reconsider the drug dosage in light of the law. These instructions add nothing specific to the laws of nature other than what is well-understood, routine, conventional activity, previously engaged in by those in the field. And since they are steps that must be taken in order to apply the laws in question, the effect is simply to *1300 tell doctors to apply the law somehow when treating their patients. The process in Diehr was not so characterized; that in Flook was characterized in roughly this way. 2 Other cases offer further support for the view that simply appending conventional steps, specified at a high level of generality, to laws of nature, natural phenomena, and abstract ideas cannot make those laws, phenomena, and ideas patentable. This Court has previously discussed in detail an English case, Neilson, which involved a patent claim that posed a legal problem very similar to the problem now before us. The patent applicant there asserted a claim for the improved application of air to produce heat in fires, forges, and furnaces, where a blowing apparatus is required. [The invention] was to be applied as follows: The blast or current of air produced by the blowing apparatus was to be passed from it into an air-vessel or receptacle made sufficiently strong to endure the blast; and through or from that vessel or receptacle by means of a tube, pipe, or aperture into the fire, the receptacle be kept artificially heated to a considerable temperature by heat externally applied. Morse, 15 How., at The English court concluded that the claimed process did more than simply instruct users to use the Page 10 principle that hot air promotes ignition better than cold air, since it explained how the principle could be implemented in an inventive way. Baron Parke wrote (for the court): It is very difficult to distinguish [Neilson's claim] from the specification of a patent for a principle, and this at first created in the minds of some of the court much difficulty; but after full consideration, we think that the plaintiff does not merely claim a principle, but a machine embodying a principle, and a very valuable one. We think the case must be considered as if the principle being well known, the plaintiff had first invented a mode of applying it by a mechanical apparatus to furnaces; and his invention then consists in this by interposing a receptacle for heated air between the blowing apparatus and the furnace. In this receptacle he directs the air to be heated by the application of heat externally to the receptacle, and thus he accomplishes the object of applying the blast, which was before of cold air, in a heated state to the furnace. Neilson v. Harford, Webster's Patent Cases, at 371. Thus, the claimed process included not only a law of nature but also several unconventional steps (such as inserting the receptacle, applying heat to the receptacle externally, and blowing the air into the furnace) that confined the claims to a particular, useful application of the principle. In Bilski the Court considered claims covering a process for hedging risks of price changes by, for example, contracting to purchase commodities from sellers at a fixed price, reflecting the desire of sellers to hedge against a drop in prices, while selling commodities to consumers at a fixed price, reflecting the desire of consumers to hedge against a price increase. One claim described the process; another reduced the process to a mathematical formula. 561 U.S., at, 130 S.Ct., at The Court held that the described concept of hedging was an unpatentable abstract idea. Id., at, 130 S.Ct., The fact that some of the claims limited hedging to use in commodities and energy markets and specified that well-known random analysis techniques [could be used] to help establish some of *1301 the inputs into the equation did not undermine this conclusion, for Flook established that limiting an abstract idea to one field of use or adding token postsolution components did not make the concept patentable. Id., at,, 130 S.Ct., at 3231.

11 Finally, in Benson the Court considered the patentability of a mathematical process for converting binary-coded decimal numerals into pure binary numbers on a general purpose digital computer. The claims purported to cover any use of the claimed method in a general-purpose digital computer of any type. 409 U.S., at 64, 65, 93 S.Ct The Court recognized that a novel and useful structure created with the aid of knowledge of scientific truth might be patentable. Id., at 67, 93 S.Ct. 253 (quoting Mackay Radio, 306 U.S., at 94, 59 S.Ct. 427). But it held that simply implementing a mathematical principle on a physical machine, namely a computer, was not a patentable application of that principle. For the mathematical formula had no substantial practical application except in connection with a digital computer. Benson, supra, at 71, 93 S.Ct Hence the claim (like the claims before us) was overly broad; it did not differ significantly from a claim that just said apply the algorithm. 3 The Court has repeatedly emphasized this last mentioned concern, a concern that patent law not inhibit further discovery by improperly tying up the future use of laws of nature. Thus, in Morse the Court set aside as unpatentable Samuel Morse's general claim for the use of the motive power of the electric or galvanic current... however developed, for making or printing intelligible characters, letters, or signs, at any distances, 15 How., at 86. The Court explained: For aught that we now know some future inventor, in the onward march of science, may discover a mode of writing or printing at a distance by means of the electric or galvanic current, without using any part of the process or combination set forth in the plaintiff's specification. His invention may be less complicated less liable to get out of order less expensive in construction, and in its operation. But yet if it is covered by this patent the inventor could not use it, nor the public have the benefit of it without the permission of this patentee. Id., at 113. Similarly, in Benson the Court said that the claims before it were so abstract and sweeping as to cover both known and unknown uses of the [mathematical formula]. 409 U.S., at 67, 68, 93 S.Ct Page 11 In Bilski the Court pointed out that to allow petitioners to patent risk hedging would pre-empt use of this approach in all fields. 561 U.S., at, 130 S.Ct., at And in Flook the Court expressed concern that the claimed process was simply a formula for computing an updated alarm limit, which might cover a broad range of potential uses. 437 U.S., at 586, 98 S.Ct These statements reflect the fact that, even though rewarding with patents those who discover new laws of nature and the like might well encourage their discovery, those laws and principles, considered generally, are the basic tools of scientific and technological work. Benson, supra, at 67, 93 S.Ct And so there is a danger that the grant of patents that tie up their use will inhibit future innovation premised upon them, a danger that becomes acute when a patented process amounts to no more than an instruction to apply the natural law, or otherwise forecloses more future invention than the underlying discovery could reasonably justify. See generally*1302 Lemley, Risch, Sichelman, & Wagner, Life After Bilski, 63 Stan. L.Rev (2011) (hereinafter Lemley) (arguing that 101 reflects this kind of concern); see also C. Bohannan & H. Hovenkamp, Creation without Restraint: Promoting Liberty and Rivalry in Innovation 112 (2012) ( One problem with [process] patents is that the more abstractly their claims are stated, the more difficult it is to determine precisely what they cover. They risk being applied to a wide range of situations that were not anticipated by the patentee ); W. Landes & R. Posner, The Economic Structure of Intellectual Property Law (2003) (The exclusion from patent law of basic truths reflects both... the enormous potential for rent seeking that would be created if property rights could be obtained in them and... the enormous transaction costs that would be imposed on would-be users [of those truths] ). The laws of nature at issue here are narrow laws that may have limited applications, but the patent claims that embody them nonetheless implicate this concern. They tell a treating doctor to measure metabolite levels and to consider the resulting measurements in light of the statistical relationships they describe. In doing so, they tie up the doctor's subsequent treatment decision whether that treatment does, or does not, change in light of the inference he has drawn using the correlations. And they threaten to

12 inhibit the development of more refined treatment recommendations (like that embodied in Mayo's test), that combine Prometheus' correlations with later discovered features of metabolites, human physiology or individual patient characteristics. The determining step too is set forth in highly general language covering all processes that make use of the correlations after measuring metabolites, including later discovered processes that measure metabolite levels in new ways. We need not, and do not, now decide whether were the steps at issue here less conventional, these features of the claims would prove sufficient to invalidate them. For here, as we have said, the steps add nothing of significance to the natural laws themselves. Unlike, say, a typical patent on a new drug or a new way of using an existing drug, the patent claims do not confine their reach to particular applications of those laws. The presence here of the basic underlying concern that these patents tie up too much future use of laws of nature simply reinforces our conclusion that the processes described in the patents are not patent eligible, while eliminating any temptation to depart from case law precedent. III We have considered several further arguments in support of Prometheus' position. But they do not lead us to adopt a different conclusion. First, the Federal Circuit, in upholding the patent eligibility of the claims before us, relied on this Court's determination that [t]ransformation and reduction of an article to a different state or thing is the clue to the patentability of a process claim that does not include particular machines. Benson, supra, at 70 71, 93 S.Ct. 253 (emphasis added); see also Bilski, supra, at, 130 S.Ct., at ; Diehr, 450 U.S., at 184, 101 S.Ct. 1048; Flook, supra, at 588, n. 9, 98 S.Ct. 2522; Cochrane v. Deener, 94 U.S. 780, 788, 24 L.Ed. 139 (1877). It reasoned that the claimed processes are therefore patent eligible, since they involve transforming the human body by administering a thiopurine drug and transforming the blood by analyzing it to determine metabolite levels. 628 F.3d, at *1303 The first of these transformations, however, is irrelevant. As we have pointed out, the administering step simply helps to pick out the group of individuals who are likely interested in applying Page 12 the law of nature. See supra, at And the second step could be satisfied without transforming the blood, should science develop a totally different system for determining metabolite levels that did not involve such a transformation. See supra, at Regardless, in stating that the machine-ortransformation test is an important and useful clue to patentability, we have neither said nor implied that the test trumps the law of nature exclusion. Bilski, supra, at, 130 S.Ct., at (emphasis added). That being so, the test fails here. Second, Prometheus argues that, because the particular laws of nature that its patent claims embody are narrow and specific, the patents should be upheld. Thus, it encourages us to draw distinctions among laws of nature based on whether or not they will interfere significantly with innovation in other fields now or in the future. Brief for Respondent 42 46; see also Lemley (making similar argument). But the underlying functional concern here is a relative one: how much future innovation is foreclosed relative to the contribution of the inventor. See supra, at A patent upon a narrow law of nature may not inhibit future research as seriously as would a patent upon Einstein's law of relativity, but the creative value of the discovery is also considerably smaller. And, as we have previously pointed out, even a narrow law of nature (such as the one before us) can inhibit future research. See supra, at In any event, our cases have not distinguished among different laws of nature according to whether or not the principles they embody are sufficiently narrow. See, e.g., Flook, 437 U.S. 584, 98 S.Ct. 2522, 57 L.Ed.2d 451 (holding narrow mathematical formula unpatentable). And this is understandable. Courts and judges are not institutionally well suited to making the kinds of judgments needed to distinguish among different laws of nature. And so the cases have endorsed a bright-line prohibition against patenting laws of nature, mathematical formulas and the like, which serves as a somewhat more easily administered proxy for the underlying buildingblock concern. Third, the Government argues that virtually any step beyond a statement of a law of nature itself should transform an unpatentable law of nature into a

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